Organization Active NPI

Westford Vein & Aesthetic Solutions LLC

  • Vascular Surgery Physician
  • Westford, MA
National Provider Identifier
1912334525
Registry record updated Aug 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
214063 Issued in MA
Legal business name
WESTFORD VEIN & AESTHETIC SOLUTIONS LLC
Practice address
5 Cornerstone SQ Ste 201
Westford, MA 01886
Phone
(978) 577-6120
NPI assigned
Sep 27, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Calin Vasiliu, MDNPI 1093861817
Title
Owner
Phone
(978) 577-6120

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0129X 214063 MA Primary

Addresses

Primary practice location

5 Cornerstone SQ Ste 201
Westford, MA 01886

Mailing address

5A Cornerstone Square
Suite 201
Westford, MA 01886-2609
Phone (978) 577-6120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140324000223 MA Part B Supplier - Clinic/Group Practice 3577794205 Receives reassigned benefits from 1 practitioner
Practice locations: Westford, MA

National Provider Directory

National Provider Directory

Locations

5 Cornerstone Sq
Ste 201
Westford, MA 01886
Phone (978) 577-6120

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8398/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1380240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533859200000",
    "number": "1912334525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5A CORNERSTONE SQUARE",
            "address_2": "SUITE 201",
            "city": "WESTFORD",
            "state": "MA",
            "postal_code": "018862609",
            "telephone_number": "978-577-6120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 CORNERSTONE SQ STE 201",
            "city": "WESTFORD",
            "state": "MA",
            "postal_code": "01886",
            "telephone_number": "978-577-6120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTFORD VEIN & AESTHETIC SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-27",
        "last_updated": "2018-08-10",
        "status": "A",
        "authorized_official_last_name": "VASILIU",
        "authorized_official_first_name": "CALIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-577-6120",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "MA",
            "license": "214063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.